Individual
MRS. SAMANTHA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
W502 SPUR LN, FOUNTAIN CITY, WI 54629-7208
(608) 687-1255
(608) 687-1255
Mailing address
W502 SPUR LN, FOUNTAIN CITY, WI 54629-7208
(608) 687-1255
(608) 687-1255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5136-12
WI
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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